NDIS Price Guide: How to Navigate It and Maximise Your Plan

Whether you’re an NDIS participant, carer, or support coordinator, understanding the NDIS Price Guide is key to getting the most from your plan. Knowing how your budget is structured, where your supports fit, and which providers you can work with helps you plan confidently, and avoid unexpected surprises.

At Fleet Healthcare, we work with self-managed, agency managed, and plan-managed participants every day. From our range of NDIS Allied Health services that include physiotherapy, occupational therapy, exercise physiology, podiatry, dietetics & therapy assistance, we align our services with the correct line items to ensure your funding works harder for you.

In this guide, I’ll walk you through:

• What the NDIS Price Guide is — and why it matters
• The difference between Core, Capacity Building, and Capital supports
• Where each Fleet Healthcare service sits in the current guide
• What to look for when reviewing therapy rates
• How to work with your support coordinator or plan manager
• What’s changed in the 2025–26 guide and how to stay updated
  

Key Takeaways

• The NDIS Price Guide outlines maximum rates providers can charge for specific supports.
  
• Services fall into categories: Core Supports, Capacity Building, or Capital.
  
• Most allied health services are funded under Capacity Building – Improved Daily Living.
  
• Prices can vary based on provider registration status, location, and day/time of service. For Allied Health services, there are no change in rates for weekends and public holidays
  
• Understanding line items ensures compliant claiming and maximised outcomes.
  
• Fleet Healthcare supports clients with clearly itemised invoices, no travel charges (unless agreed), and services that align with therapy goals.
  

Table of Contents

1. What Is the NDIS Price Guide and Who Is It For?
2. Key Funding Categories: Core vs Capacity Building vs Capital
3. Understanding Therapy Line Items and Rates
4. Location and Provider Type: Why Rates Differ
5. Working With Your Support Coordinator or Plan Manager
6. 2025–26 Price Guide Changes: What You Need to Know
7. FAQs
   

What Is the NDIS Price Guide and Who Is It For?

As someone who works closely with NDIS participants every day, I’ve seen how much confusion the NDIS Price Guide can create, especially for new participants, carers, and even some providers. But understanding the guide is crucial if you want to make informed choices about your plan and get the most out of your supports.

At its core, the NDIS Pricing Arrangements and Price Limits document (commonly referred to as the NDIS Price Guide) sets out the maximum rates that providers can charge for different types of support under the National Disability Insurance Scheme (NDIS). These price limits help ensure fairness, transparency, and value for money, especially when you’re working with registered providers like us at Fleet Healthcare.

It is updated each year around early July by the NDIS Quality and Safeguards Commission and the NDIA, with the latest version available directly from the official NDIS Pricing Arrangements page. The guide outlines:

• Maximum hourly rates or unit costs for each service
• Conditions and rules around billing (e.g. travel, cancellations)
• Which line items are claimable under each support category
• Whether a support must be delivered by a registered provider
  

Who Should Use the NDIS Price Guide?

The guide is designed for:

• NDIS participants who want to better understand how their budgets work
• Support coordinators and plan managers who help clients plan and manage funding
• Allied health providers like Fleet Healthcare who deliver services under Capacity Building or Core supports
• Carers and family members involved in decision-making
  

If you or your loved one are self-managing or are plan-managed, knowing how to read the guide helps you confirm if you’re being charged fairly and if a service is aligned with your plan goals. For agency-managed participants, it ensures you’re aware of how your funding is being used on your behalf.

Understanding the NDIS Price Guide is not just about checking hourly rates, it’s about making sure your plan is working for you. It allows you to be proactive with your supports, plan ahead, and avoid overspending or missing out on valuable services that could make a difference in your everyday life.

At Fleet Healthcare, we use the NDIS Price Guide daily to match our NDIS Allied Health services to the correct line items. This ensures compliance, transparency, and most importantly,  that your funding is being used in a way that supports your goals.

Key Funding Categories – Core vs Capacity Building vs Capital

Understanding the structure of your NDIS plan is one of the most important steps to getting the right support. And it all starts with knowing how the three main funding categories work: Core Supports, Capacity Building, and Capital Supports.

Each of these categories has a different purpose  and how you use them will affect what services are available, how they’re delivered, and how much funding you can allocate.

Let’s break it down in plain terms.

1. Core Supports: Everyday Assistance

What it covers:
Core Supports are the most flexible part of an NDIS plan. This budget is designed to help with day-to-day activities, such as personal care, help around the house, meal preparation, and community participation.

When allied health fits in:
While most therapy services fall under Capacity Building, these services are no longer funded under Core Supports. From 1 July 2025, allied health and therapy (including physiotherapy, occupational therapy, and similar services) must be claimed from the Capacity Building budget rather than Core.

Important: If your current plan previously allowed allied health under Core, this may continue only until your plan is reviewed. Always check with your support coordinator or plan manager to confirm how your supports should be claimed.

manager to confirm that the support aligns with your plan goals and fits within Core.

2. Capacity Building Supports: Improving Skills and Independence

What it covers:
This is where most of your therapy funding will come from. Capacity Building is designed to help you build independence, develop new skills, and work towards your personal goals.

Relevant sub-category for therapy:

• Improved Daily Living (Support Category 15)

At Fleet Healthcare, this is where our team delivers the most impact. Whether it’s physiotherapy to build strength, occupational therapy to develop daily living skills, or dietetics to improve nutrition and health — these services are typically funded under this category.

You may also use Capacity Building funding for:

• Exercise physiology to manage chronic health conditions
• Podiatry for mobility and foot care
• Chiropractic (when clinically justified and linked to functional outcomes)
• Other Professional. A person who is not one of the types of professionals listed above but who the provider considers to be an appropriate professional to deliver Disability-Related Health Supports in line with the NDIS Quality and Safeguarding Commission’s requirements for the Therapeutic Supports Registration Group.
• Therapy assistant
  

Each service must be goal-directed and tied to a therapeutic outcome. We work with many clients to align reports and service plans with NDIS goals for this reason.

3. Capital Supports: Equipment and Technology

What it covers:
Capital Supports are used to fund assistive technology, home modifications, and other long-term or one-off purchases that support independence.

Allied health and Capital:
While you can’t use Capital to pay for therapy sessions, you do need allied health professionals (like OTs or physios) to:

• Assess needs for assistive technology
• Write reports or funding applications
• Provide training on safe use

For example, our OTs at Fleet Healthcare frequently support participants applying for:

• Shower chairs, mobility scooters, or specialised beds
• Minor or complex home modifications
• Communication devices

These assessments are usually funded through Improved Daily Living, while the equipment itself is funded under Capital Supports.

Summary Table

Category	Purpose	Can Allied Health Be Funded?
Core Supports	Help with daily tasks and community access	If your current plan previously allowed allied health under Core, this may continue only until your plan is reviewed. Always check with your support coordinator or plan manager to confirm how your supports should be claimed.
Capacity Building	Improve skills, health, and independence	Yes – therapy services like physio, OT, EP, podiatry
Capital Supports	Equipment and modifications	Not directly – but therapists write reports

Understanding which category your supports fall under is the foundation for making your NDIS plan work effectively. In the next section, I’ll show you exactly where each Fleet Healthcare service sits within the current 2025–26 NDIS Price Guide and how to ensure your bookings align with the right funding stream.

Understanding Therapy Line Items in the NDIS Price Guide

When you’re managing an NDIS plan, whether as a participant, support coordinator, or plan manager, understanding therapy line items is essential. These codes are what link the care a person receives to their budget categories, and they ensure that every dollar spent is compliant, reportable, and purposeful.

As someone who works every day with NDIS participants and the people who support them, I can tell you: it’s not just about ticking boxes. It’s about connecting a person’s goals whether that’s walking without fear of falling, preparing healthy meals, or learning to self-regulate with real, practical services that help them build capacity over time.

Most allied health services sit under a category called Capacity Building – Improved Daily Living. This part of your plan is all about helping you build skills, increase independence, and live more confidently. Whether that means improving your mobility, managing pain, learning new routines, or finding ways to stay safe and active at home.

So, where do therapy sessions fit?

The most commonly used line item is:

– – The line item itself is detailed in the NDIS Support Catalogue via the NDIS Pricing Arrangements. 

This is the item used to fund most one-on-one therapy supports, especially when you’re working toward a specific NDIS goal. It can cover things like:

• An initial assessment to understand your needs
• A therapist working with you regularly to build strength, balance, or function
• Home-based treatment or training sessions
• Support for carers to learn safe ways to assist you
• Therapy reports (often required for plan reviews or equipment applications)

Which Services Are Covered?

At Fleet Healthcare, we support this line item across a wide range of NDIS mobile allied health services delivered in your home. These include:

• Physiotherapy – helping with pain, balance, mobility, falls prevention
• Occupational Therapy – improving day-to-day function, safety, and independence
• Exercise Physiology – building strength and endurance to support long-term function
• Dietetics – managing swallowing, nutrition, weight, and energy levels
  
• Podiatry – addressing foot pain, balance, and diabetic foot care
• Therapy Assistance – implementing therapy plans and support day-to-day activities, ensuring participants continue to make progress between appointments with their therapist.

If you’re unsure whether your plan includes this category, your local area coordinator (LAC), support coordinator or plan manager can help check. Many of our clients don’t realise just how flexible this funding is or how much care can be delivered without needing to visit a clinic.

Making It Easy for You

At Fleet Healthcare, we simplify the process by:

• Providing upfront quotes that align with your plan
• Using correct line items for fast and smooth claiming
• Offering regular therapy updates for your coordinator or planner
• Ensuring every service is aligned with your NDIS goals

Whether you’re focused on mobility, independence, or building long-term confidence, our team helps you make the most of your therapy funding, without the red tape

 

How to Find the Right Rates for Your Location and Provider Type

The NDIS Price Guide sets maximum billable rates, but the actual rate you pay can depend on a few factors, including where you live, whether the provider is a sole trader or a company, and how the service is delivered (in person, via telehealth, or group-based).

Understanding Price Limits in the NDIS Guide

The NDIS sets price limits for each support item. These are the maximum hourly or session rates that a registered provider can charge. You’ll find these listed in the NDIS Support Catalogue, which is normally updated in early July each year. 

Key Factors That Influence Pricing

Here’s what to consider when reviewing pricing or comparing providers:

Factor	What to Look For
Location	Whether you’re in a metro, regional, remote, or very remote zone. Fleet Healthcare primarily operates in Sydney metro.
Provider Registration	Registered NDIS providers follow the capped rates. Unregistered providers (for plan-managed clients) may set their own rates.
Type of Delivery	In-person services (at home or clinic) may differ from telehealth. Travel costs may also apply. At Fleet Healthcare we do not charge any travel fees for our mobile allied health services.
Service Duration	Some providers offer sessions longer or shorter than 60 minutes, so ensure you compare the effective hourly rate.

Fleet Healthcare’s Approach to Pricing

At Fleet Healthcare, we aim to make pricing predictable and fair.

• We never charge more than the NDIS maximum hourly rate
• We don’t charge travel fees unless agreed upfront and necessary
• Our sessions are delivered in-home by qualified clinicians with no hidden admin or case management fees

Want to get started? Make a booking or a referral today.

Working with a Support Coordinator or Plan Manager to Use the Guide

The NDIS Price Guide is a powerful tool, but let’s be honest, it can feel overwhelming. It’s not just a list of numbers, it’s a framework that governs what can be funded, at what rate, and under which circumstances. That’s why many participants choose to work with a Support Coordinator or Plan Manager to help interpret and apply it correctly.

If you’re managing a plan for yourself or someone you care for, here’s how these roles can support you.

What a Support Coordinator Does

Support Coordinators help you understand your plan, build your team of providers, and navigate the NDIS system. Their role is especially valuable when it comes to:

• Interpreting the Price Guide in relation to your specific plan
• Matching supports to your goals (e.g. therapy for independence, assistive tech, functional assessments)
• Identifying which line items (e.g. 15_055_0128_1_3) can be used for specific services
• Coordinating appointments and service providers
• Preparing for plan reviews with outcome-focused reporting

They won’t make decisions for you, but they’ll guide you so you’re making informed, confident ones.

At Fleet Healthcare, we regularly collaborate with support coordinators to ensure reports, therapy plans, and recommendations align with NDIS expectations and participant goals.

What a Plan Manager Does

A Plan Manager is like a financial admin for your NDIS funding. They take care of the invoicing, budget tracking, and payments on your behalf. With a Plan Manager:

• You can access both registered and unregistered providers
• They ensure all invoices align with the NDIS Price Guide
• They help ensure that spending stays within budget
• They keep records to support future plan reviews or audits

Plan management is available at no private cost to you, it’s funded separately within your plan under Improved Life Choices.

Fleet Healthcare works closely with Plan Managers to ensure accurate invoicing, clear line-item references, and prompt payment. We always provide documentation that supports your compliance and reporting needs.

A Better Experience for Participants

If you’re working with a Support Coordinator or Plan Manager, you don’t need to become an expert in the Price Guide overnight. Instead, your role is to focus on your goals, needs, and preferences, while your support team helps you make it happen.

When you partner with a provider like Fleet Healthcare, we’ll also help you:

• Understand which of our services align with your goals
• Provide transparent pricing quotes for your team
• Recommend the right service mix for your needs (e.g. physio + OT + EP + Podiatry)
• Offer regular progress updates that make plan reviews easier

Need help building a plan that makes sense for your goals? Get in touch with our team today.

Annual Updates to the Guide and What’s Changed

Every financial year, the NDIS Pricing Arrangements and Price Limits are reviewed and updated, usually taking effect from 1 July or very early July. These updates are more than just numbers changing. They reflect how the scheme evolves to meet participant needs, align with the broader healthcare landscape, and improve transparency for both providers and participants.

If you’re a participant, support coordinator, or plan manager, keeping up with these updates is essential to ensure you’re making the most of your plan.

Why the Price Guide Is Updated Annually

The NDIS operates under a rules-based framework set by the NDIS Act 2013, and pricing is designed to be fair and sustainable for both participants and providers. Annual updates allow the NDIS to:

• Adjust therapy pricing based on wage changes or inflation
• Introduce new supports or change existing support item descriptions
• Update rules around claiming (e.g. cancellation policies, travel charges, or report inclusions)
• Improve clarity on how services should be delivered and billed
• Ensure price limits are aligned with market conditions

For example, in the 2025–26 update, changes included updates to therapy price limits, clearer definitions around allied health service delivery, and slight adjustments to regional pricing categories.

You can view the official and most up-to-date guide here via the NDIS Pricing Arrangements and Price Limits 2025–26 page.

How We Stay Compliant and Updated

At Fleet Healthcare, we review any potentialchanges to the NDIS Price Guide monthly and every financial year , ensuring that:

• All our service rates and invoicing match the current limits
• Support coordinators and plan managers we work with are informed of relevant updates
• Participants aren’t left out of pocket or confused by outdated pricing
• We remain compliant with the NDIS Code of Conduct and quality assurance measures

This means when you book a service with us, you’ll always receive accurate, claimable, and fully compliant allied health care.

FAQs: Understanding the NDIS Price Guide

1. What is the NDIS Price Guide?

The NDIS Price Guide (now officially called NDIS Pricing Arrangements and Price Limits) outlines the maximum prices that registered providers can charge for services under the NDIS. It ensures consistency, transparency, and fairness across the scheme.

You can access the latest version directly from the NDIS website here.

2. What is the difference between Core, Capacity Building, and Capital supports?

These are the three main budget categories in every NDIS plan:

• Core Supports fund everyday activities and assistance with daily living
• Capacity Building Supports are about long-term skill development (this is where most therapy services sit)
• Capital Supports fund one-off items like assistive technology or home modifications

Understanding which category applies to your goals is key to using your budget effectively.

3. Do I need a plan manager or support coordinator to access therapy?

Not necessarily. You can access therapy whether your plan is:

• Self-managed (you pay, then claim back)
• Plan-managed (a plan manager pays providers on your behalf)
• NDIA-managed (only registered providers can be used)

As Fleet Healthcare is a registered NDIS provider, we work with all plan types. Our admin team can prepare service agreements and quotes for submission to your plan manager or support coordinator.

4. Are travel costs covered for mobile allied health?

Yes — but with limits. The NDIS allows travel costs to be claimed only under certain rules, such as:

• Distance and time caps
• Shared travel (where appropriate)
• Provider documentation
  

At Fleet Healthcare, we do not charge travel fees for standard service areas where we have practitioners. This is one of our key points of difference, and we aim to provide the most value for your funding.

6. Can I use my funding for multiple allied health services?

Yes. As long as the services align with your goals and are reflected in your plan under the relevant category (usually Capacity Building), you can access a combination of:

• Physiotherapy
• Occupational Therapy
• Exercise Physiology
• Dietetics
• Podiatry
• Therapy Assistance

If you’re unsure what’s included, we can help you or your plan manager understand where each service fits.

7. Where can I find the latest NDIS therapy prices?

You can find all current therapy prices and support item codes at the following website:

• NDIS Pricing Arrangements and Price Limits

For convenience, Fleet Healthcare can also provide tailored service quotes based on your allied healthcare requirements.

Author Bio

Alex is the Founder and Managing Director of Fleet Healthcare. As a practising physiotherapist, he brings over a decade of experience across NDIS, aged care, and mobile allied health. Alex is passionate about delivering care that meets people where they are and helps them thrive in their everyday environment.